Individual
DIANA JANE BACSAFRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
83844 HOPI AVE, INDIO, CA 92203-2638
(760) 398-9000
Mailing address
83844 HOPI AVE, INDIO, CA 92203-2638
(760) 393-9000
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
721982
CA
Other
Enumeration date
06/20/2023
Last updated
04/23/2026
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